针刺麻醉在神经外科中应用操作规程的研究

NORMALIZATION OF ACUPUNCTURE ANESTHESIA USED IN NEUROSURGERY

自1965年11月上海华山医院成功地将针刺麻醉应用于颅脑手术以来,全国神经外科针麻研究协作组经历了两个阶段协作攻关研究,共积累5,244例临床资料。其中前颅窝2,107例(40.17％),颞顶枕区1,951例(37.2％),后颅窝1,186(22.61％)。

From March 1975 to February 1982 and from April 1987 to October 1990, the national cooperative neurosurgerical acupuncture research group had already accumulated the clinic data of 5,244 cases totally, consisting of 2,107 cases in frontal fossa, 1951 cases in the temporo-parieto-occipital region and 1,186 in posterior fossa. By the same manipulative procedures and scaling criteria, the indications, choices of acupoints, stimulus parameters, adjuvants, preoperative measurements, and physiological and biochemical changes during operations were studied. Practically, the results was not only reliable, but repeatative highly. 95% of the cases in frontal fossa belonged to grade Ⅰ(success),91.5 % of the cases in temporo-darieto-occipital region was grade Ⅰ and 89.38% of the cases in posterior fossa was grade I. We suggest that acupuncture anesthesia should be widely used as one of the usual methods of anesthesia. In this paper, the relative specificity of acupoints, the mechanism of adjuvants, personal differences and preoperative measurements were discussed. In the meantime, the advantages and the remaining problems of acupuncture anesthesia in craniocerebral operations were also mentioned.